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Published on: February 22, 2019
Immunogenicity and safety of MMRV and PCV-7 administered concomitantly in healthy children
Michael Leonardi1, Kenneth Bromberg, Roger Baxter
1aPalmetto Pediatrics, North Charleston, SC, USA.
Insights
Administering the measles, mumps, rubella, and varicella vaccine (MMRV) together with the pneumococcal 7-valent conjugate vaccine (PCV-7) to children is safe and effective. Both vaccines given at the same time produced similar immune responses compared to separate administrations.
Area of Science:
- Pediatric infectious diseases
- Vaccinology
- Immunology
Background:
- Childhood vaccination schedules aim to protect against serious infectious diseases.
- The combination measles, mumps, rubella, and varicella vaccine (MMRV) and the pneumococcal 7-valent conjugate vaccine (PCV-7) are commonly administered to young children.
- Assessing the safety and immunogenicity of co-administered vaccines is crucial for optimizing immunization strategies.
Purpose of the Study:
- To evaluate the immunogenicity and safety of administering the MMRV vaccine concomitantly with the PCV-7 vaccine in healthy children.
- To compare the immune responses and adverse events when MMRV and PCV-7 are given together versus sequentially.
Main Methods:
- A randomized controlled trial involving 1027 healthy children aged 12 to 15 months.
- Participants were assigned to receive MMRV and PCV-7 concomitantly (group 1) or sequentially with a 6-week interval (groups 2 and 3).
- Immunogenicity was assessed by antibody response rates for all vaccine antigens, and safety was monitored for local and systemic adverse experiences.
Main Results:
- High antibody response rates were observed for all antigens in both vaccines, with rates ≥96.8% for measles, mumps, and rubella, ≥88.0% for varicella-zoster virus, and ≥98.3% for all 7 pneumococcal serotypes.
- Immune responses to MMRV and PCV-7 antigens were similar regardless of whether the vaccines were administered concomitantly or sequentially.
- The incidence of adverse experiences was comparable between the concomitant group and the sequential groups, with no vaccine-related serious adverse events reported.
Conclusions:
- Concomitant administration of MMRV and PCV-7 vaccines is highly immunogenic and well-tolerated in healthy children aged 12 to 15 months.
- The findings support the simultaneous administration of MMRV and PCV-7 vaccines as a safe and effective immunization strategy.
- Co-administration simplifies the vaccination schedule without compromising vaccine efficacy or safety.
Objective:
We assessed the immunogenicity and safety of a combination measles, mump, rubella, and varicella vaccine (MMRV) (ProQuad [Merck & Co, Inc, West Point, PA]) administered to healthy children concomitantly with a pneumococcal 7-valent conjugate vaccine (PCV-7) (Prevnar [Pfizer, Philadelphia, PA]).
Patients And Methods:
Healthy 12- to 15-month-old children who lacked vaccination and clinical histories for measles, mumps, rubella, varicella, and zoster but had written documentation of receipt of a 3-dose primary series of PCV-7 were randomly assigned in a 2:1:1 ratio to receive either the MMRV and PCV-7 (group 1), PCV-7 followed 6 weeks later by MMRV (group 2), or MMRV followed 6 weeks later by PCV-7 (group 3). The primary safety analysis was 56 days (28 days after each visit). Immunogenicity was evaluated 6 weeks after each vaccination.
Results:
A total of 1027 children were enrolled (group 1: 510; group 2: 258; group 3: 259). For all 3 groups, the antibody response rate was ≥96.8% for measles, mumps, and rubella, ≥88.0% for varicella-zoster virus, and ≥98.3% for all of the 7 Streptococcus pneumoniae serotypes. The immune responses to all antigens present in MMRV and PCV-7 were similar whether administered concomitantly or sequentially. The incidence of local and systemic adverse experiences (AEs) was comparable between group 1 and groups 2 and 3 combined. No vaccine-related serious AEs were reported.
Conclusions:
Concomitant administration of the MMRV and PCV-7 is highly immunogenic and generally well tolerated. Similar immune responses between the groups support concomitant administration of the MMRV and PCV-7 to healthy children 12 to 15 months of age.
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